NPIMap

Organization Active NPI

Pintar Psychological Services, PC

  • Community/Behavioral Health Agency
  • Traverse City, MI
National Provider Identifier
1972756351
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301013916 Issued in MI
Legal business name
PINTAR PSYCHOLOGICAL SERVICES, PC
Practice address
12719 S West Bay Shore Dr
Suite #9
Traverse City, MI 49684-5489
Phone
(231) 714-7054
NPI assigned
Oct 29, 2008
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamie Michael Pintar, PH.D.NPI 1932467248
Title
Clinical Psychologist
Phone
(231) 714-7054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 6301013916 MI
Psychiatric Residential Treatment Facility 323P00000X 6301013916 MI
Community/Behavioral Health Agency 251S00000X 6301013916 MI Primary

Addresses

Primary practice location

12719 S West Bay Shore Dr
Suite #9
Traverse City, MI 49684-5489

Mailing address

12719 S West Bay Shore Dr
Suite #9
Traverse City, MI 49684-5489
Phone (231) 714-7054

Other names 1

  • The Lighthouse Neurological Rehabiliation Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Pintar Psychological Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1972756351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12719 S WEST BAY SHORE DR",
            "address_2": "SUITE #9",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845489",
            "telephone_number": "231-714-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12719 S WEST BAY SHORE DR",
            "address_2": "SUITE #9",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845489",
            "telephone_number": "231-714-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINTAR PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "PINTAR",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "231-714-7054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "6301013916",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MI",
            "license": "6301013916",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301013916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lighthouse Neurological Rehabiliation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.